Nutritionist Dr. Andrea Del Seppia

Clinical and sports nutrition - Cesena, Forlì, Ravenna and Rimini

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The importance of consuming fibers during pregnancy

Fibers in pregnancy

Taking a varied and balanced diet, from the pre-conceptional period, is an essential condition for guaranteeing the well-being of women and the favorable evolution of pregnancy. In this context, it is necessary to underline the importance of an adequate fiber intake, whose daily contribution recommended by the LARN is at least 25g / day.

Misura's interview with Dr. Andrea Del Seppia

Let's talk about the topic with our nutritionist, Dr. Andrea Del Seppia.

Dr. Del Seppia, what is meant by fiber?

By the term fiber we mean a series of compounds from the plant world (cereals, legumes, fruit and vegetables) and which are not digested by our enzymatic systems. The fiber can be distinguished as soluble and insoluble in water. Generally, soluble fiber, such as pectins, β-glucans and inulin, is a fiber that forms a viscous gel in contact with water and is highly fermentable by our intestinal bacterial flora. Insoluble fiber, on the other hand, is a less viscous and less fermentable fiber and is mainly represented by cellulose, hemicellulose and lignin. From these characteristics many valuable properties derive for our intestinal well-being, even during pregnancy, although they do not have a significant caloric intake.

What are the properties of the fiber?

Forming a gel in contact with water, the soluble fiber increases the mass and the viscosity of the gastric contents. This activity results in a greater sense of satiety between meals, better appetite control and, consequently, greater control over weight gain during pregnancy. The viscous mass, formed by fiber and water, reduces the speed of absorption of sugars in the blood and therefore an excessive increase in post-prandial glycaemia, thus representing an effective dietary intervention to prevent the onset of gestational diabetes mellitus, a type of diabetes which can occur during pregnancy.

There is also a beneficial effect on the cardiovascular system, as the fiber has the ability to trap cholesterol-rich bile acids that are secreted during the digestive process.

The same mechanism is also observed for triglycerides, preventing their normal absorption by our body. The fiber is fermented by our intestinal bacterial flora creating more voluminous and soft stools and thus facilitating the evacuation. The fermentation of the fiber produces short chain fatty acids, which have a nourishing effect on the intestinal mucosa. Hence the prebiotic effect of the fibers. Prebiotics are defined as those non-digestible substances that stimulate the growth and activity of our bacterial microflora. It has been shown that the fiber is able to stimulate the growth of bifidobacteria and lactobacilli, considered to be good bacteria.

Insoluble fiber leads to an increase in the volume of intestinal contents due to its ability to attract water (whose contribution must always be constant and abundant) and this results in a stimulation of intestinal peristalsis (contractions that favor intestinal transit), inducing the evacuation and reducing the time spent in the digestive tract. The effectiveness of the fibers on intestinal regularity and the beneficial effect it can have on constipation (a problem that is frequently found in pregnant women) is therefore clear.

Fibers in pregnancy

What foods do you recommend eating to increase your fiber intake?

The amount of fiber present in plant foods is very variable. Generally, whole grains and derivatives such as wheat flour and wheat bran are very rich in insoluble fibers that we can find in good quantities even in dried fruit and vegetables (artichokes, chicory, beets, cauliflower, aubergines, turnips, radishes, etc.). The soluble fiber, on the other hand, is found mainly in legumes (especially in lentils, beans and chickpeas) and in all fruit in general.
All future mothers are reminded that for the safety of the unborn child it is always good to consume fruit and vegetables after having washed them thoroughly.

Read the full article on Misura® website

Read the article on Misura® official page

Link to Dr. Andrea Del Seppia page on the official Misura® website

Misura® is a registered trademark of Colussi S.p.A. The material reported in this article is the property of Colussi, who authorized its publication.

Filed Under: Nutrition in pregnancy Tagged With: child's well-being, food properties, fruit, pregnancy

Pre workout snack

Lo spuntino pre allenamento

Misura's video with Dr. Andrea Del Seppia

Pre-training fasting is a myth to debunk! Our nutritionist, Dr. Andrea Del Seppia, advises Stefano Ghisolfi and many other athletes how to prepare the perfect snack before the effort.

Read the article on Misura® official page

Link to Dr. Andrea Del Seppia page on the official Misura® website
Misura® is a registered trademark of Colussi S.p.A. The material reported in this article is the property of Colussi, who authorized its publication.

Filed Under: Nutrition and sport Tagged With: andrea del seppia, Cesena, nutrition in sports, sports nutritionist

Sport-proof breakfast

La colazione a prova di sport

Misura's video with Dr. Andrea Del Seppia

Breakfast is essential, especially for a sports woman like our Valeria Patriarca. Our nutritionist, Dr. Andrea del Seppia, explains how to adapt it to our needs.

Read the article on Misura® official page

Link to Dr. Andrea Del Seppia page on the official Misura® website
Misura® is a registered trademark of Colussi S.p.A. The material reported in this article is the property of Colussi, who authorized its publication.

Filed Under: Nutrition and sport Tagged With: andrea del seppia, nutrition in sports, sports nutritionist

Better for you: the benefits and properties of fruits, vegetables

Better for you: the benefits and properties of fruits and vegetables

The importance of adding fruit and vegetables to the usual diet contributes to numerous beneficial properties for our health.

Misura's interview with Dr. Andrea Del Seppia

Let's talk about the topic with our nutritionist, Dr. Andrea Del Seppia.

 

Dr. Del Seppia, what are plant-based foods?

Foods of plant origin are a heterogeneous set of foods, whose nutritional properties depend on the category to which they belong: the main groups of plant foods are vegetables, cereals, fresh fruit, nuts, legumes and oilseeds. Numerous studies have highlighted the benefits of consuming these food sources well. In general, these are foods rich in fiber, vitamins, minerals and antioxidant substances essential for the proper functioning of our body. Their consumption has a protective effect against various diseases: it is one of the factors that help us stay healthier and live longer (WHO, 2019).

What is the role of dietary fiber?

The fiber, a non-digestible component contained in plant foods, allows the stomach to be mechanically filled by stimulating the sense of satiety and reducing the glycemic index of the meal: vegetables, in particular, have an excellent satiating power and can be a fundamental help to keep body weight at bay. In general, foods rich in fiber help maintain good regularity and, by reducing transit time, they also reduce the time that our intestines remain in contact with any dangerous substances present in the food. Dietary fiber also helps control blood lipid and sugar levels. The indigestible carbohydrates contained in some vegetables (for example chicory inulin) have a prebiotic effect, which favors the proliferation of a healthy intestinal bacterial flora.

Worldwide recommendations (WHO, 2004) recommend taking five portions of fruit and vegetables (approximately three portions of fruit and two of vegetables per day).

What are the benefits of having a diet rich in fruits and vegetables?

Despite the many beneficial properties, the consumption of fruit and vegetables is very often overlooked. For a preventive and protective function to be carried out it is essential to consume at least 400 grams of vegetables - excluding starchy substances such as tubers - every day (WHO, 2019). Fruits and vegetables are food sources with low caloric density (they have few kcal) and high nutritional value (they contain many vitamins and antioxidants) and often have a good water content. In addition, many vegetables are rich in potassium which counteracts the negative effects attributable to sodium, a mineral found in table salt which, if taken in excessive quantities, can contribute to raising blood pressure and causing water retention.

What are the strategies to increase the consumption of plant-based foods?

It is suggested to include some products of plant origin possibly in every meal of the day. During the main meals, it is possible to consume a first course based on unrefined whole grains, such as barley or spelled, and legumes, such as lentils or chickpeas (both are an excellent source of energy) seasoned with abundant vegetables . Alternatively, you can start the meal with a colorful mixed salad or, again, accompany a dish with a side dish of mixed vegetables sautéed or steamed, with the addition of extra virgin olive oil and various aromas. Making vegetables the protagonist of multicolored dishes is a strategy to avoid being considered only a banal and accessory side dish.

Two or three times a week, replacing the meat dish with a legume-based dish can be a good trick to avoid saturated fat and cholesterol intake and to increase daily fiber intake.

What about snacks?

My advice is to opt for fresh fruit and / or raw vegetables to munch on. You can also prepare a mixed fruit salad so that it is tasty even without the addition of sugars. Both fruit and vegetables are also an excellent basis for extracting extracts or centrifuges: these choices can be a valid alternative to make a healthy and low-calorie snack. Dried shell fruits (such as almonds and hazelnuts) and oily seeds (such as pumpkin or sunflower seeds) contain valuable nutrients and monounsaturated and polyunsaturated fats: those contained in nuts (omega 3), in particular, play an anti-inflammatory action . Dried fruits and oilseeds are ideal to be enjoyed as a snack, but due to their high caloric density, moderate consumption is recommended.

 

Which varieties is better to prefer?

To orient yourself in the choice it is advisable to vary the type and colors of the vegetables to guarantee the contribution of all the antioxidant and vitamin substances: the color of the fruit and vegetable pulp, in fact, is given by the presence of certain pigments and vitamins, such as grape anthocyanins and carrot carotenoids. These micronutrients are useful to counteract oxidative processes, protect blood vessels, help the immune system and much more. It is essential to alternate raw and cooked vegetables, since the bioavailability of antioxidants and minerals varies according to the cooking method. In the case of raw vegetables there is greater availability of thermolabile micronutrients (which are compromised by heat, such as vitamin C) and water-soluble (which are lost in any cooking water, such as potassium). However, cooked vegetables do have some benefits, first of all because they guarantee us an abundant supply of fiber, given that we often manage to eat a larger quantity of them in grams compared to raw vegetables (a salad or salad of radicchio has a low weight). For those who are not fond of vegetables as such, an excellent option is to consume them by preparing creamy velvets or minestrone. Furthermore, the bio-availability of some substances increases with cooking: this is the case of lycopene, an antioxidant molecule with a rich tomato sauce. In any case, we recommend always non-prolonged cooking with little water.

It is important to respect the seasonality of vegetable products: broccoli and oranges are better in winter, while tomatoes and cherries are to be chosen in the warm season.

The seasonal products, in addition to having a better taste, have better nutritional properties: the greater vitamin content is found when the product is freshly harvested or when it is frozen in a short time. For those with little time, therefore, it is better to avoid canned vegetables that are rich in salt and prefer frozen ones immediately after being harvested.

Read the full article on Misura® website

Read the article on Misura® official page

Link to Dr. Andrea Del Seppia page on the official Misura® website
Misura® is a registered trademark of Colussi S.p.A. The material reported in this article is the property of Colussi, who authorized its publication.

Filed Under: Nutrition and wellness Tagged With: andrea del seppia, nutrition

How to have a conscious approach to milk and its derivatives

Intolleranza a latte e latticini

Milk is the first source of nourishment that we introduce during our life. In fact, through breastfeeding, the baby feeds on a real food capable of completely satisfying its nutritional needs. With the growth, however, the ability to digest the sugar present in milk (lactose) and its protein (casein) can be reduced.

Misura's interview with Dr. Andrea Del Seppia

Let's talk about the topic with our nutritionist, Dr. Andrea Del Seppia.

 

Dr. Del Seppia, what kind of sugars are present in the milk and how are they digested?

The sugar most present in milk is lactose. Chemically, lactose is a "disaccharide", or a compound sugar that during the digestive phase is broken down into two smaller units of glucose and galactose, which are then absorbed in the intestine. Physiologically, the assimilation of lactose, linked to the production of specific enzymes such as lactases produced by the intestine and the intestinal bacterial flora, may decrease over time, creating phenomena known as lactose intolerance. This condition prevents the assimilation of this sugar, which will be found in the intestine creating gastrointestinal disorders related to osmosis, or the recall of water in the faeces and fermentation in hydrogen and methane by the bacterial flora, symptoms translated into liquid stools, abdominal pain and swelling.

How do lactases behave and how does lactose intolerance develop?

Lactases are produced by our genes during the first years of life. Their production is stimulated by the intake of breast milk by the newborn. After weaning, however, gene transcription is regulated (programmed genetic decrease), which leads to a consequent and lower production of intestinal lactases. This reduction is observed in about 75% of the adult population.

What, then, is the eating behavior that must be faced with a lactose intolerance?

People with this problem will have to consume foods called delattosate, that is "lactose-free" or with low residues (such as, for example, highly matured cheeses).

From lactose sugar to casein protein ...

The milk also has a rich protein component, mainly composed of whey proteins and casein. The latter, of which cow's milk is very rich, is necessary for the coagulation of milk for the formation of cheese, but it is also the main cause of allergy to milk and derivatives.

Intolleranza a latte e latticini

What is an allergy and how does it differ from an intolerance?

Allergy is a very different phenomenon from intolerance, in this case, in fact, there is a real immunological response that involves our immune system and is characterized by the production of IgE antibodies. In the case of milk allergy, casein therefore behaves as an allergen, or a foreign molecule (called antigen) towards which our immune system is triggered. An allergic reaction occurs a few minutes after the ingestion of milk (10-20 minutes) and with symptoms much more violent than those of intolerance, and on various districts, such as, for example, the gastrointestinal, respiratory and skin with reactions that can lead to anaphylactic shock.

So how should you behave if you have a casein allergy?

In general, casein allergy is addressed through a dietary intervention that completely excludes milk and all its derivatives from the diet, including the so-called delactosate products that were instead recommended for those suffering from intolerance.

Read the full article on Misura® website

Read the article on Misura® Facebook official page

Link to Dr. Andrea Del Seppia page on the official Misura® website
Misura® is a registered trademark of Colussi S.p.A. The material reported in this article is the property of Colussi, who authorized its publication.

Filed Under: Nutrition and wellness Tagged With: food properties, lactose intolerance, nutrition

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Structures where I hold consultations

Province of Forlì - Cesena
  • Casa di Cura Malatesta Novello, Ospedale privato accreditato, Cesena
  • Poliambulatorio IS.M.A.C., Gatteo (FC)
  • Poliambulatorio Arcade, Cesena – Savignano
  • Primus Medical Center Day Hospital Forli
  • Poliambulatorio Omnialab, Forlimpopoli

 

Province of Ravenna
  • Ravenna Medical Center - GVM, Ravenna

Province of Rimini
  • Centro Medico Gelso Sport, Bellaria – Igea
    Marina

  • Clinica Nuova Ricerca - Rimini

Milano - C.so Lodi, 114

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Dr. Andrea Del Seppia
47522 Cesena (FC) - Italy
Phone: +39 349 18 24 495 (Italian Line)
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